Individual
CAMELIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9418
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
07/07/2016
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